Ahs Henryetta Hospital LLC

A Medicare group practice based in Henryetta, OK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9638143282), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638143282The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
5
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040820000595 OK Part A Provider - Hospital 1720053556
O20050219000008 OK Part B Supplier - Clinic/Group Practice 1720053556
O20070406000137 OK Part A Provider - Hospital 1588733828
O20190702002822 OK Part A Provider - Rural Health Clinic 1871008722
O20190516000175 OK Part A Provider - Rural Health Clinic 1295232478

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (4).

Sources for this page